FDA Adverse Event Malfunction Summary report: N

PROGRAMMING SOFTWARE

MDR report key: 3970466 · Received July 31, 2014

Report

Report Number
1644487-2014-01902
Event Type
Malfunction
Date Received
July 31, 2014
Date of Event
July 8, 2014
Report Date
July 8, 2014
Manufacturer
CYBERONICS, INC.
Product Code
LYJ
PMA / PMN Number
P970003
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE SURGEON¿S PROGRAMMING SYSTEM WAS NOT WORKING WHILE IN THE OR. THE HANDHELD DEVICE AND PROGRAMMING WAND WERE RETURNED TO THE MANUFACTURER FOR ANALYSIS. THE PROGRAMMING WAND PERFORMED ACCORDING TO FUNCTIONAL SPECIFICATIONS. ANALYSIS OF THE HANDHELD DEVICE IS CURRENTLY UNDERWAY.

Description of Event or Problem · 1

THE HANDHELD ANALYSIS WAS COMPLETED ON 08/07/2014. NO ANOMALIES ASSOCIATED WITH THE HANDHELD WERE NOTED DURING TESTING USING THE AC ADAPTER OR THE MAIN BATTERY WITH A FULL CHARGE. THE HANDHELD PERFORMED ACCORDING TO FUNCTIONAL SPECIFICATIONS. ANALYSIS OF THE FLASHCARD WAS COMPLETED ON 08/07/2014. NO ANOMALIES ASSOCIATED WITH FLASHCARD SOFTWARE OR DATABASES WERE IDENTIFIED DURING THE FLASHCARD ANALYSIS. THE FLASHCARD AND SOFTWARE PERFORMED ACCORDING TO FUNCTIONAL SPECIFICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
448133 PROGRAMMING SOFTWARE PROGRAMMING COMPUTER LYJ CYBERONICS, INC. MODEL 250 1077283

Patients

Seq Age Sex Outcome Treatment
1